ArticleBJPsych open2025
Key features of illness and treatment experiences in longstanding anorexia nervosa: qualitative descriptive study.
Article in BJPsych open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Care approaches for people with longstanding eating disorders: a lived experience perspective on the need for recovery-fostering care.Journal of eating disorders · 2026Article
- The perceived impact of the ANZAED Eating Disorder Credential: perspectives of individuals with eating disorder lived experience.Journal of eating disorders · 2026Article
- Iatrogenic harm and premature treatment discontinuation in eating disorders: a lived experience response to Wade and Schmidt (2026).Journal of eating disorders · 2026Article
- Clinical staging for eating disorders: A scoping review and update.European psychiatry : the journal of the Association of European Psychiatrists · 2026Article
- Specialized, integrative treatment for long-standing eating disorders: early insights and implications.Journal of eating disorders · 2026Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundStudies have consistently found that up to 20% of people with anorexia nervosa experience a persistent illness, resulting in considerable psychosocial impairment, morbidity and mortality. This has been variously termed severe and enduring anorexia nervosa or longstanding anorexia nervosa (L-AN). Conflicting findings have hindered progress in distinguishing the nosological features of individuals with persistent illness.
aimsThis study aims to investigate the putative defining features of individuals reporting symptoms of L-AN, including consideration of their treatment trajectory.
methodThis cross-sectional study, drawing from a mixed-methods design, utilised a sample of symptomatic individuals who reported experiencing eating disorder treatment (
resultsNo between-group differences were found in measures of severity, including body mass index (kg/m
conclusionsDelineating L-AN by severity may be inappropriate; anorexia nervosa of any duration is a severe illness. This study suggests that treatments, or lack thereof, may have an inadvertent impact on duration of illness. Future focus needs to be on reconceptualising L-AN and its treatments. Treatment refinements informed by lived experience are proposed.
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Registered trials
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